Chia S E, Ong C N, Phoon W H, Tan K T, Jeyaratnam J
Department of Community, Occupational, and Family Medicine, National University of Singapore.
Neurotoxicology. 1993 Spring;14(1):51-6.
This study was carried out in a video tape manufacturing factory in Singapore where workers were exposed to mixed solvents consisting of methyl ethyl ketone (MEK), cyclohexanone (CHE), tetrahydrofuran (THF), and toluene (TOL). The objectives were to quantify workers' exposure to the various solvents and to evaluate if there were any neurobehavioural changes among the workers compared to controls. Nineteen exposed workers out of the workforce of forty-five were studied. Twenty-six workers (with no exposure) matched for ethnic group, age, and years of education served as controls. Eight-hour personal environmental samples were analyzed for the 19 workers along with symptom questionnaires, clinical examinations, and neurobehavioural tests including the Santa Ana Dexterity, Finger Tapping, Digit Span, and Visual Reproduction tests. The mean TWA concentrations for MEK, THF, CHE, and TOL were all below the current American Conference of Governmental Industrial Hygienists Threshold Limit Values (TLV). However, the total solvents concentration index exceed unity in one of the work areas. Significant differences were observed for prevalence of headache, and eyes and nose irritation among the exposed workers. There were also significant differences for the Santa Ana test for both-hands, Digit Span test and Visual Reproduction test. However, no dose-effect relation between behavioral scores and airborne solvent exposure was noted. The study suggests that solvent-exposed workers in video tape manufacturing plants may have poorer visual motor control and recent memory impairment (visual and verbal) than unexposed workers. Dermal absorption of solvents may have played a role in these results by increasing workers exposure.
本研究在新加坡一家录像带制造工厂进行,该厂工人接触由甲乙酮(MEK)、环己酮(CHE)、四氢呋喃(THF)和甲苯(TOL)组成的混合溶剂。目的是量化工人对各种溶剂的接触程度,并评估与对照组相比,工人是否存在任何神经行为变化。在45名工人中,对19名接触溶剂的工人进行了研究。26名在种族、年龄和受教育年限方面匹配的未接触溶剂的工人作为对照组。对19名工人进行了8小时的个人环境样本分析,并发放了症状问卷、进行了临床检查以及神经行为测试,包括圣安娜敏捷度测试、手指敲击测试、数字广度测试和视觉再现测试。MEK、THF、CHE和TOL的平均时间加权平均浓度均低于美国政府工业卫生学家会议当前的阈限值(TLV)。然而,其中一个工作区域的总溶剂浓度指数超过了1。在接触溶剂的工人中,头痛、眼睛和鼻子刺激的患病率存在显著差异。双手进行的圣安娜测试、数字广度测试和视觉再现测试也存在显著差异。然而,未发现行为评分与空气中溶剂接触之间存在剂量-效应关系。该研究表明,录像带制造工厂中接触溶剂的工人可能比未接触溶剂的工人具有更差的视觉运动控制能力和近期记忆损害(视觉和言语方面)。溶剂的皮肤吸收可能通过增加工人接触量而在这些结果中起到了作用。